Tuesday, December 2, 2014

Andrew Wakefield's Vaccination Scare

If you remember our topic on mercury, hopefully you will recall an article about the presence of mercury in vaccines and how parents thought it was linked to autism.  If you don’t, I’ll refresh your memory.  Thimerosal is a mercury compound that was used as a surgical antiseptic and preservative.  It falls under the category of organomercurials, and contains 50% mercury in the form of ethylmercury that is bound to thiosalicylate to create merthiolate.  The toxicity of thimerosal was tested in rabbits and other animals as they were observed for a week.  It was discovered that animals could tolerate incredibly high rates of thimerosal; up to 20 mg/kg of body weight.  Similarly, humans could tolerate high levels, especially compared to other mercurial preservatives.  Another benefit of using thimerosal was its ability to preserve immunizations without compromising the potency of the immunization.
Methylmercury, not to be confused with ethylmercury, was under scrutiny in the 1960’s which lead the conclusion of the high toxicity of methylmercury.  Because little was known of ethylmercury, it received similar scrutiny.  However, ethylmercury was still legal in vaccinations because it was being used in small amounts.

From 1989 to 1999, there was a 273% increase diagnosed patients of autism.  At the time, the public thought that autism was sparked by parental emotional distance.  When Andrew Wakefield published an article in The Lancet about his discoveries of the measles-mumps-rubella (MMR) vaccine and it’s impacts on autism, parents and caretakers were quick to accept this.  Wakefield’s test consisted of 12 children, who received the MMR vaccine, which he claimed caused autism.  He thought that the combination of the three vaccines caused an infiltration of the intestines that causes it’s fluids to be released from the intestines and into the blood stream, eventually causing autism.  Many public figures supported this, including governors, and actress/model Jenny McCarty who had autistic children of their own.
Wakefield was challenged in 2003 that claimed his test results were inaccurate, and there was no correlation between the MMR vaccine and autism.  Many other studies provided the same conclusion.  He had his medical license revoked after a hearing that cited Wakefield for numerous violations, and the British Medical Journal deemed his work fraudulent.  Since his work was already in the open, many parents had chosen not to give their kids the MMR vaccine in fear of autism.  This eventually would cause the re-emergence of diseases such as whooping cough and measles.
A major pawn in this was Brian Deer who began investigating Wakefield in 2004.  He proved that Wakefield’s tests were not only wrong, but also unethical.  Wakefield moved to Texas in 2005 and became a co-founder of the Thoughtful House Center for Children.  Here, treatment and research was done for children with autism.  As an incredibly charismatic and empathetic man, Wakefield gained an even larger fan base, who believed his words despite the accusations against him.  In 2010, Wakefield resigned from the thoughtful House after the General Medical Council discovered more ethical violations, including subjecting developmentally disabled children to unnecessary invasive procedures, mishandling funds, and failing to disclose conflicts of interest.
Thimerosal has been phased out of vaccinations, but autism rates continue to rise, without any explanation.  Research is constantly being done on this complex brain development disorder, but the cause is still unknown.  There is a high likelihood that an autistic child with gastrointestinal problems can worsen behavioral issues (a major symptom of autism), but unlike Wakefield’s predictions, it is one of the few things that is not a likely cause.  Caretakers are quick to accept any answer of why a child might have autism, which is why they were so willing to accept Wakefield’s answers.

Wakefield’s article caused a 2% decline in MMR vaccinations in 1999 and 2000.  As you can imagine, this affected the number of mumps and measles cases a few years later.  These started in 2008 in Canada, the United States and the United Kingdom, even though these diseases had been almost completely eradicated.  Cases of measles have happened in Wales, France (20,000 infected), England (1,168 cases, a 64% increase), and the United States.  2013 was the worst year in measles cases since 1996.  Measles is one of the most contagious diseases, being spread by coughing and sneezing, yet it is one of the most preventable by vaccinations.

References
Anonymous. “A Case of Junk Science, Conflict and Hype.” Nature.com Nature Publishing Group, 2008. Web 29 Nov. 2014.
Anonymous. “Vaccines.” Vaccine Benefits. The National Institute of Allergy and Infectious Disease, 2012.  Web. 28 Nov. 2014.
Baker, Jeffrey P., MD, PhD. “Mercury, Vaccines, and Autism—One Controversy, Three Histories.” American Journal of Public Health 98.2 (2008): 244-53. Web
Dominus, Susan. “The Crash and Burn of an Autism Guru.” The New York Times. The New York Times, 23 Apr. 2011. Web. 27 Nob, 2014
Rattue, Petra. “The Effect of the Autism Scare on U.S. Childhood Vaccination Rates.” Medical News Today. MediLexicon Internationa, 15 June 2012. Web 27 Nov. 2014
Whalen, Jeanne, and Betsy McKay. “Fifteen Years After Autism Panic, a Plague of Measles Erupts.” The Wall Street Journal. Dow Jones & Company, 09 July 2013. Web 29 Nov. 2014

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